Document 4v1aLEvJ1GKk5jVJEmaabXD8R

9 RCV II M CSTAIUSHCO 02 E. I. du Pont de Nemours & Company inCOAPORATCO Wilmington. Delaware 19898 POLYMER PROOUCTS DEPARTMENT x r J. C. 3ESPERKA J. T. SMITH S. P. FOSTER N. J. IRSCH R. E. JACKSON J. C. LEITINGER P. J. MEYERS R. T. MURRILL F. D. BROWN B. W. CULPEPPER - ER R. A. HARRINGTON - LEGAL July 31, 1981 PERSONAL i CONFIDENTIAL SITE MANAGERS - FOR ACTION G. K. WALKER - AKRON LAB S. S. LORD - BEAUMONT H. F. CANFIELD - CIRCLEVILLE M. R. HARADON - CLINTON R. P. HADEN - FAYETTEVILLE M. S. EATON - FLORENCE J. F. GLEITZ - GERMAY PARK H. L. DEY - LOUISVILLE TENANT MANAGERS - FOR INFORMATION K. L. SELIGMAN - CHAMBERS WORKS D. B. SCHIEWETZ - GLASGOW J. A. WILSON - HOUSTON M. M. MARTENS - SENECA W. E. HURST - WAYNESBORO D. C. HOPMANN - WURTLAND FORMER SITES - FOR INFORMATION C. J. HUGELMEYER ARLINGTON . CARNEY'S POINT *No attachment: P. E. OTTO - PENCADER/WB M. S. DEAK - PONTCHARTRAIN C. F. RIDDICK - SABINE J. B. SHAFER - SPRUANCE R. D. PRUETT - TECUMSEH R. H. HAHNFELD - TULSA J. H. TODD - WASH. WORKS J. F. WINSKE - YERKES There s a world of thmcs we re coma something acout DU 041611 DUP 0962153 Z.9 tv i2 ? crruusNto ioz E. I. du Pont de Nemours & Company IMCOftPOKATCO Wilmington. Delaware 19898 POLYMER PRODUCTS DEPARTMENT PERSONAL & CONFIDENTIAL TO: DISTRIBUTION LIST July 31, 1981 DOCUMENTATION OF "NO SMOKING" ADVICE ASBESTOS SCREENING PROGRAM Ref: Letter of July 24, 1981 In the subject letter, it was suggested that written documentation be made using Form G-428* Physical Examination Record. Consensus is that for the sake of uniformity, this form be made the method of communication to appropriate employees. HES/is MANUFACTURING DIVISION *This form number was incorrectly given as G-248 in our letter of July 24. Copy of form is attached for reference. DUP 0962154 There s a world of things we re doing something about DU 041612 \ G*428 Rev. 1/81 PERSONAL AND CONFIDENTIAL PHYSICAL EXAMINATION 3 f "" " OATS Tt ME TO: ADDRESS:. MEDICAL EXAMINES You are reauested to reoort for your periodic ohysical examination on the date and at the time noted above, it for any reason you cannot reoort at the time noted, inform your supervisor immediately. The medics/ reoort you wifi receive will be based upon the ohysice/ findings end the mformstion you g/r9 j0 st(j ,n detecting physicel defects end diseases, you should inform the phystasn of your complete medics/history. A reoort of your examination will be sent to your personal ohysician if you request. (Authorized By) DU 041613 DUp 0962156 DU 041614 .428 Rv. I/1 TO: AO DRESS;* personal and confidential PHYSICAL EXAMINATION THIS COPY TO BE RETURNED TO PERSON WHO AUTHORIZED EXAMINATION- DATE TIME MEDICAL EXAMINER i,;*PTr- wsc; EXAMINER IMPORTANT: PLEASE CHECK APPROPRIATE ITEMS BELOW. . M.O. (Modie*l Division Utt) Work rcftriciiont: Non* i i ~'Z-~ i C Pr*lac*mm Periodic CSoacnl C R-#rployrT>nt - .____ - .(Dep*nm*nt U) Nw QTrn*f*f Ptnsiorwr Oth*r Wag* Salary USE Extmot CNon-txtmpt DU 041615 DUP 0962157